| 陈优,奚巍,肖艳红.社区康复与住院康复对慢性精神分裂症患者家庭功能及希望水平的影响[J].四川精神卫生杂志,2019,32(2):126-129.,Effects of community rehabilitation and hospitalized rehabilitation on family function and level of hope in patients with chronic schizophrenia[J].SICHUAN MENTAL HEALTH,2019,32(2):126-129 |
| 社区康复与住院康复对慢性精神分裂症患者家庭功能及希望水平的影响 |
| Effects of community rehabilitation and hospitalized rehabilitation on family function and level of hope in patients with chronic schizophrenia |
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| DOI：10.11886/j.issn.1007-3256.2019.02.007 |
| 中文关键词: 精神分裂症 社区康复 住院康复 |
| 英文关键词:Schizophrenia Community rehabilitation treatment Hospitalized rehabilitation treatment |
| 基金项目:2016-2018上海市杨浦区卫计委精神康复重点专科项目(YP16ZB09)；上海市残联2016年度残疾人康复科研鼓励项目 |
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| 中文摘要: |
| 【摘要】目的 比较社区康复治疗与住院康复治疗对慢性精神分裂症患者家庭功能和希望水平的影响,为改善慢性精神分裂症的预后提供参考。方法 2017年3月-7月在上海市杨浦区精神卫生中心随机抽取符合《 国际疾病分类(第10版)》(ICD-10)精神分裂症诊断标准的住院患者(住院组)60例,在杨浦区的12家社区"阳光心园"纳入进行社区康复治疗的精神分裂症患者(社区组)60例。采用家庭亲密度和适应性量表中文版(FACESⅡ-CV)、Herth希望量表(HHS)评定两组患者的家庭功能和希望水平。结果 FACESⅡ-CV中,社区组"实际适应性"因子评分高于住院组[(45.51±7.27)分vs.(41.68±8.98)分,t=2.358,P=0.021];HHS中,社区组"对现实和未来的积极态度"因子评分高于住院组[(12.39±1.51)分vs.(11.70±1.79)分,t=2.095,P=0.039];总体希望水平与家庭实际亲密度和实际适应性呈正相关(P<0.05或0.01)。结论 与住院康复治疗相比,基于社区和家庭的康复治疗服务更有助于提高患者的家庭功能和希望水平。 |
| 英文摘要: |
| Objective To compare the effects of community rehabilitation treatment and hospitalized rehabilitation treatment on family function and hope level of patients with chronic schizophrenia, so as to provide references for the prognosis of them.Methods From March to July 2017, 60 inpatients ( inpatient group) who met the diagnostic criteria of International Classification of Diseases, tenth edition ( ICD - 10) for schizophrenia were randomly selected from Shanghai Yangpu District Mental Health Center.Another 60 cases of schizophrenic patients ( community group) who were taking community rehabilitation from 12 community " sunshine heart garden" of Yangpu district were included. The Family function and level of hope in the two groups were evaluated with Family Adaptability and Cohesion Scale ( FACESⅡ - CV) and Herth Hope Scale ( HHS) . Results Compare with the hospitalized group,patients in the community rehabilitation group presented better in FACESⅡ - CV [ ( 45. 51 ± 7. 27) vs. ( 41 . 68 ± 8. 98) , t = 2. 358,P = 0. 021 ] and positive attitude toward reality and the future in HHS [ ( 12. 39 ± 1 . 51 ) vs. ( 11 . 70 ± 1 . 79) , t = 2. 095, P = 0. 039] .There were significantly positive correlation between the scores of HHS and FACESⅡ - CV ( P < 0. 01 ) . Conclusion Compared with hospitalized rehabilitation, community rehabilitation treatment is more helpful to improve patients' family function and level of hope. |
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